Individual provider Active NPI

Sandra N Ferguson, FNP-BC

  • Family Nurse Practitioner
  • Joppa, MD
National Provider Identifier
1295285047
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016015572 Issued in MD
Practice address
1518 Philadelphia Rd
Joppa, MD 21085-3216
Phone
(443) 840-9478
Fax
(410) 538-5510
NPI assigned
Oct 5, 2016
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R197133 MD
Family Nurse Practitioner 363LF0000X 2016015572 MD Primary

Addresses

Primary practice location

1518 Philadelphia Rd
Joppa, MD 21085-3216

Mailing address

1518 Philadelphia Rd
Joppa, MD 21085-3216
Phone (443) 840-9478

Other identifiers 1

IdentifierTypeStateIssuer
847503200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124002531 MD Practitioner - Nurse Practitioner 7618259748 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMW Services Pandmh LLCGroup PAC ID 1355829557, 2 clinicians

Practice addresses (Care Compare)

101 Hollow Brook Rd
Lutherville, MD 21093-3436
Phone (410) 299-2314

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016015572MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FMW Services P&MH LLC CurrentSince Nov 11, 2025 Accepting new patients
International Neurorehabilitation Institute CurrentSince Oct 22, 2016 Accepting new patients
FMW Medspa Inc. CurrentSince May 1, 2020 Accepting new patients
FMW Services P&MH LLC Past Accepting new patients

Locations

1300 York Rd
Ste 300
Lutherville Timonium, MD 21093
Phone (410) 828-4629

1447 York Rd
Ste 508
Lutherville Timonium, MD 21093
Phone (410) 828-4629

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1295285047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 PHILADELPHIA RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853216",
            "telephone_number": "443-840-9478",
            "fax_number": "410-538-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 PHILADELPHIA RD",
            "city": "JOPPA",
            "state": "MD",
            "postal_code": "210853216",
            "telephone_number": "443-840-9478",
            "fax_number": "410-538-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "SANDRA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197133",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "2016015572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847503200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joppa, MD

Sources for this page

Verify at the official NPI Registry.